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Emerging Pandemic Threats Program
PREDICT RESPOND PREVENT IDENTIFY
Universitas
Indonesia
designed by. @whawhay
RREPORT
INDOHUN - Indonesia One Health University NetworkINDOHUN - Indonesia One Health University NetworkINDOHUN - Indonesia One Health University NetworkINDOHUN - Indonesia One Health University Network
REPORT
Inaugural National Symposium
Bali, Indonesia
May 3-4, 2012
Inaugural National Symposium
Bali, Indonesia
May 3-4, 2012
Inaugural National Symposium
Bali, Indonesia
May 3-4, 2012
Foreword 1
Background 2
The Symposium 4
Day 1 6
Day 2 9
GROUP 1 PRESENTATION 10
GROUP 2 PRESENTATION 12
GROUP 3 PRESENTATION 15
CLOSING 16
design, photo, layout
Wahyu Septiono
organizer
Wiku Adisasmito (head)
Dinda Prita Vaudika
Wahyu Septiono
Vilda Rachman Amir
Phatthamon Jantalae
Putu Mas Dewi
Anocha Chuenwanta
Contents
This report documents the outcome of the INDOHUN Inaugural National Symposium.
INDOHUN is a national One Health University Network in Indonesia, linked to the
regional South East Asia One Health University Network (SEAOHUN), whose mission is to
leverage the training, education, and research capacities of the university network to
build the skills, knowledge and attitude base for One Health leaders. The INDOHUN
Inaugural National Symposium report reflects in detail on setting missions for Indonesian
Universities and on appropriate ways to work with the Government to embed and
implement the One Health approach to disease outbreak response, investigation,
surveillance and control in Indonesia. A strategic plan for INDOHUN and its member
organisations will be developed following the meeting. The organisers, Prof. Drh. Wiku
Adisasmito, MSc, Ph.D. (INDOHUN Chairperson), the team from the National
Coordinating Office at the University of Indonesia and SEAOHUN extend their gratitude
to every individual and organisation who contributed to the symposium, the group and
panel discussions, and this report, whether on or offstage. The Chairperson would like to
thank in particular Mr. Brian McLaughlin, Regional Director of USAID-RESPOND, and Dr.
Stanley Fenwick, Regional Technical Director of USAID-RESPOND, for playing an
important part in the preparation of this meeting, and to all organizers, for making this
event success.
Prof. Wiku Adisasmito, DVM, MSc, PhD.
Foreword
1 - INDOHUN SYMPOSIUM REPORT 2012
2 - INDOHUN SYMPOSIUM REPORT 2012
Faculties currently in the regional network included
Mahidol University (Veterinary Science, Tropical
Medicine), Chiang Mai University (Veterinary
Medicine, Nursing), University of Indonesia (Public
Health), University of Gadjah Mada (Veterinary
Medicine, Medicine), Institut Pertanian Bogor
(Veterinary Medicine), Universiti Kebangsaan
Malaysia (Medicine, Health Sciences), Universiti
Putra Malaysia (Veterinary Medicine), Hanoi School
of Public Health, Hanoi Medical University (Institute
of Preventive Medicine and Public Health),
University of Agriculture Hanoi (Veterinary
Medicine).
Structure of SEAOHUN
BACKGROUND
As we know there are many threats to our health
status, both globally and locally. These can also
create serious problems for Indonesia if this country
cannot effectively prepare for the threats. The
latest pandemics (SARS, H5N1, and H1N1), global
trade of livestock, climate change, pathogen
ecology and bioterrorism are all related to the
threats and should be handled professionally using
the One Health (OH) approach, where
multidisciplinary teams work both cross-
disciplinarily and cross-sectorally to respond. This
needs involvement from those who are in line with
the vision to improve the health status in Indonesia.
Based on this need, the South East Asia One Health
University Network (SEAOHUN) is supporting the
implementation and strengthening of One Health
in the South East Asia region and within countries in
the region by the creation of national OH university
networks. In Indonesia, this network is starting to
develop across disciplines. The preparation of
forming INDOHUN began in January 2012 at the
first meeting of university faculties in Yogyakarta.
This symposium in Bali follows on from that
inaugural meeting and is the first INDOHUN
symposium with many participants from
universities, communities, government and other
health-related stakeholders in Indonesia.
3 - INDOHUN SYMPOSIUM REPORT 2012
Each of the four countries has set up a National Network
(INDOHUN in Indonesia, MYOHUN in Malaysia, THOHUN in
Thailand, and VOHUN in Vietnam) to share and
disseminate the benefits of the regional network –
SEAOHUN. These involve multiple faculties within each
country who are involved in educating professionals in the
skills required to support the One Health approach.
The Indonesia One Health University Network (formally
known as INDOHUN) was established in January 2012 as a
platform where leading academicians, stakeholders,
scientists, communities, and professionals from Indonesia
could transcend provincial and national borders to
address issues of regional and global concern. The mission
of INDOHUN is to implement the One Health concept
across the country with the support of multiple disciplines.
The vision is to improve the health of people, animals and
the ecosystem, which are all interconnected for global
survival. This meeting aimed to unite all health sectors in
Indonesia (especially university) to conceive and build
one health concept in Indonesia.
The discussion topics of the symposium are the vision,
mission, objectives and Indonesian essential activities,
such as how to establish and sustain INDOHUN, to develop
collaborative research, training and exchange programs,
and to identify INDOHUN’s OH core competencies for use
in university curriculum mapping. The discussion topics are
based on academic necessities that are essential in
Indonesia to meet the future needs of the integrated
health systems. In the future, the members of INDOHUN are
expected to collaborate responding the threats of health
status in Indonesia.
1) Faculty of Veterinary Medicine, Bogor Agricultural
Institute
2) Faculty of Medicine, Gadjah Mada University
3) Faculty of Veterinary Medicine, Gadjah Mada
University
4)
Dr. drh. Srihadi Agungpriyono, PAVet (K)
< >
Dr. Agus Setiyono < >
Dr. drh. Denny Lukman, M.Si
< >
Dr. drh. Hadri Latif, M.Si < >
Prof Dr. Bambang Pontjo P. < >
Dr. Hera Maheshwari
< >
dr. Rr. Titi Savitri Prihatiningsih, M.A., M.Med. Ed.,
Ph.D. < >
dr. Abu Tholib Aman, Sp. MK, MSc., Ph.D
< >
Prof. dr. Sofia Mubarika, M.Med.Sc.,PhD
dr. Ahmad Hamim Sadewa,PhD
< >
Dr. dr. Mahardika A. Wijayanti
< >
dr. Retno Sutomo, Sp.A, Ph.D
< >
dr. Riris Andono, Ph.D
< >
Prof. Dr. drh. Wayan Tunas Artama
< >
Dr. drh. Agnesia Endang Tri Hastuti Wahyuni, M. Si
< >
Prof. Em. drh. Setyawan Budiharta, MPH, PhD
< >
Drh. Heru Susetya, MSi. Ph.D
< >
Drh. Yudha Heru Fibrianto, MP, Ph.D
< >
Drh. Surya Agus Prihatna, MP
< >
ysrihadi@yahoo.com
agusetiyo@yahoo.com
dennylukman@hotmail.com
hadrilatif@yahoo.com
bpontjo4@gmail.com
hera_maheshwari@yahoo.com
savitri66@yahoo.co.uk
atholib04@yahoo.com
hamdewa@yahoo.com
dikafugm@yahoo.co.id
rsutomo@yahoo.com
risandono.ahmad@gmail.com
artama@ugm.ac.id
wahyuni_aeth@yahoo.com
setyawan@ugm.ac.id
herususetya@ugm.ac.id
fibrianto1802@gmail.com
prinatno@ugm.ac.id
Faculty of Public Health, Universitas Indonesia
Drs. Bambang Wispriyono, Apt, PhD
< >
Dr. Robiana Modjo, SKM, M.Kes
< >
Dr. dra. Evi Martha, M.Kes <
>
Dr. drg. Ririn Arminsih W., M.Kes
< >
Dr. Dra. Dewi Susana, M.Kes
< >
Vetty Yulianty Permanasari, S.Si, MPH
< >
wispriyono@cbn.net.id, bwispri@ui.edu
71.bian@gmail.com
evimartha@yahoo.com,
evimartha@gmail.com
uwaraw@yahoo.com
dsusanna2@yahoo.com
vetty.yulianty@yahoo.com
The symposium was successfully held from May 3 – 4 2012 in the Sanur Paradise Hotel, Bali, Indonesia. This was the first INDOHUN
symposium with 92 participants from various disciplines and organizations. The names and organizations of the participants
who attended the symposium were:
INDOHUN SYMPOSIUM REPORT 2012 - 4
Dr. Dra. Ratu Ayu Dewi Sartika, Apt., M.Sc.
< >
Dr. drg. Indang Trihandini, M. Kes
< >
Prof. dr. Pratiwi P. Sudarmono, PhD, SpMK(K)
Dr. Anis Karuniawati, Ph.D., Sp. MK (K)
< >
Dr. Astrid Sulistomo
Sunardji, SE, MM ( )
< >
ayu_fkm_ui@yahoo.com
itrihandini@gmail.com
akaruniawati@yahoo.com
sunardji@yahoo.com
5) Faculty of Medicine, Universitas Indonesia
6) Universitas Indonesia
Vice Rector
7) Faculty of Medicine, Udayana University
8) Faculty of Veterinary Medicine, Udayana University
9) Udaya University
rector
10) Faculty of Medicine, Brawijaya University
11) Faculty of Veterinary Medicine, Brawijaya University
12) Faculty of Public Health, Airlangga University
13) Faculty of Medicine, Airlangga University
Prof. Dr. dr. Ketut Suastika, Sp. PD-KEMD
< >
Prof. Dr. dr. Putu Astawa, Sp.OT, M.Kes
Dr. dr. Ni Nyoman Sri Budayanti, Sp. MK (K)
< >
Prof. Dr. Drh. I Made Damriyasa, MS.
< >
Dr. N. Adi Suratma, MP
< >
drh. I Made Sukada, Msi
< >
Prof. Dr. dr. I Made Bakta, Sp.PD (KHOM) ( )
< >
Dr.dr. Karyono Mintaroem, SpPA.
< >
Dr. dr. Sri Andarini, M.Kes < >
Prof. Dr. drh. Pratiwi Trisunuwati, MS
< >
Prof. Dr. Tri Martiana, dr., MS
< >
Prof. dr. Soejajadi Keman, MS, Ph.D.
< >
Prof. Dr. H. J. Mukono, dr., MS, MPH
< >
Prof. Dr. Indri Safitri Mukono, dr., MS
< >
ksuas@yahoo.com
nymsri@yahoo.com
madedamriyasa@yahoo.com
adisuratma@yahoo.co.id
madesukada@gmail.com
rector@unud.ac.id, bakta@unud.ac.id
kmr16yoni@yahoo.com, kmr16.fk@ub.ac.id
sriandarini@yahoo.com
pratiwi_trisunuwati@yahoo.com
tmartiana3356@yahoo.com
soedja_keman@yahoo.com
mukono_j@yahoo.com
indrisafitri@yahoo.com
The Symposium
13) Faculty of Medicine, Airlangga University
14) Faculty of Veterinary Medicine, Airlangga University
15) Faculty of Public Health, Hassanudin University
16) Faculty of Medicine, Hassanudin University
17) Faculty of Public Health University of North Sumatera
18) Faculty of Public Health Sriwijaya University
19) Faculty of Public Health University of Mulawarman
20) Faculty of Medicine University of Nusa Cendana
21) Faculty of Medicine University of Mataram
22) Chiangmai University
23) Universiti Kebangsaan Malaysia
24) Universiti Putra Malaysia
25) Hanoi School of Public Health
26) Hanoi University of Agriculture
27) World Health Organization (WHO) Indonesia
Representative
28) ASEAN
29) BBV Denpasar
Prof. Dr. Indri Safitri Mukono, dr., MS
< >
Prof. Hj. Romziah Sidik, PhD. <
>
Dr. drh. Anwar Ma'ruf, M.Kes
< >
drh. Didik Handijatno, MS, Ph.D
< >
Prof. Dr. dr. H. M. Alimin Maidin, MPH
< >
Prof. dr. Irawan Yusuf, Ph.D
< >
Prof. Lucia Muslimin
Dr. Ir. Zulhaida Lubis, M. Kes < >
Hamzah Hasyim, S.KM, M.KM
< >
dr. H. Emil Bachtiar Moerad, Sp.P
< >
dr. A.A. Heru Tjahjono < >
dr. Doddy Ario Kumboyo, Sp.OG (K)
< >
dr. Ida Ayu Eka Widiastuti, M.Fis
< >
Assoc. Prof. Dr. Lertark Srikitjakarn
< >
Prof. Dr. Baharudin Bin Omar
<
>
Prof. Dr. Mohd. Hair Bejo < >
Dr. Nguyen Viet Hung < >
Assoc. Prof. Dr. Nguyen Huu Nam
< >
Dr. Nirmal Kandel < >
Dr. Montira Pongsiri <
>
indrisafitri@yahoo.com
romzi@unair.ac.id,
romez02@yahoo.com
anwarunair@gmail.com
didik_fkhunair@yahoo.co.id
aliminmaidin@gmail.com
irawanyusuf@yahoo.com
idaulinas@gmail.com
hamzah.hasyim@gmail.com
emilpsku@yahoo.co.id
aa.heru@yahoo.com
doddy_ak@yahoo.co.id
widiastutidayu@yahoo.com
deanvet@chiangmai.ac.th
bahar@medic.ukm.my,
bahaudinhjomar@gmail.com
hair.bejo@gmail.com
Hung.Nguyen@unibas.ch
nhnam@hua.edu.vn
kandeln@searo.who.int
pongsiri.montira@epa.gov,
PongsiriMJ@state.gov
The Symposium
29) BBV Denpasar
30) DAAD
31) FAO Indonesia
32) USAID/INDONESIA
33) USAID-RESPOND,
34) Tufts University
35) USAID-PREVENT
36) Ministry Coodinator of People Welfare
37) Zoonotic National Committee
38) AIPTKMI
39) IDI
40) IAKMI
41) PAMKI
42) PDK3MI
drh. Anak Agung Gde Putra, M.Sc., Ph. D <
>
(Deutscher Akademischer Austauschdienst)
Dr. Irene Jansen < >
Dr. James McGrane < >
Dr. Artha Camelia < >
regional office, Bangkok, Thailand
Dr. Brian McLaughlin < >
Dr. Stanley Fenwick < >
Anocha Chuenwanta
< >
Phatthamon Jantalae
< >
Dr. Jennifer Steele (Tufts University)
<
Dr. Linda Olsen Keller (University of Minnesota)
< >
Dr. Saul Tzipori <s >
Mr. Owen Wrigley < >
dr. Chabib Afwan < >
Rama Fauzi < >
dr. Emil Agustiono, M.Kes
< >
Dr. dra. Emma Rachmawati, M.Kes
< >
(Indonesia Medical Association)
Dr. Prijo Sidipratomo, Sp.Rad (K)
< >
(Indonesia Public Health Association)
Dr. dr. Ridwan Thaha, M. Sc.
< >
(IndonesiaAssociation of Clinical Microbiology
Indonesia Experts)
Prof. dr. Agus Sjahrurachman, Sp.MK, Ph.D
< >
(Association of Indonesia Community
Medicine Pubic Health)
dr. Harun Al Rasyid, MPH <
dic-
denpasar@indo.net.id
jansen@daadjkt.org
james.mcgrane@fao.org
acamellia@usaid.gov
brian_mclaughlin@dai.com
stanley_fenwick@dai.com
anocha_chuenwanta@dai.com
phatthamon_jantalae@dai.com
jennifer.steele@tufts.edu>
olson173@umn.edu
aul.tzipori@tufts.edu
owrigley@fhi360.org
chabibaf@yahoo.com
ramafauzi26@gmail.com
emil54_agustiono@yahoo.com
era_five@yahoo.com
sidipratomo@yahoo.com
ridwan_609@yahoo.com
agussjahrurachman@yahoo.co.id
haroen09@gmail.com>
5 - INDOHUN SYMPOSIUM REPORT 2012
Day 1
The 1st day of the INDOHUN Inaugural National Symposium was on May 3rd, 2012 in Sanur Paradise Hotel, Bali. Participants
began the symposium by registering their attendance at 08.00 AM. Following registration, the Symposium was opened with
Welcome Remarks by Prof. Dr. dr. I Made Bakta, Sp.PD (KHOM), Rector of Udayana University, and an Introductions and
Agenda speech by Prof. drh. Wiku Adisasmito, MSc., Ph.D. Before closing his speech, Prof. Wiku also asked the participants to
take a moment of silence and condolence for the Minister of Health Republic of Indonesia who passed away a day before
the symposium began.
At 09.15 AM, Dr. Stanley Fenwick presented a talk entitled “Overview of One Health, SEAOHUN, and Indonesia Perspective”.
In addition, Dr. Nguyen Viet Hung presented his summary of the establishment of a sister network entitled“Vietnam One
Health University Network (VOHUN): Lessons learned” . After both presentations, a panel discussion was held to elicit more
information and to develop some new ideas. The discussion was facilitated by Prof. Em. drh. Setyawan Budiharta, MPH, Ph.D.
Some participants were interested to discuss Dr. Fenwick and Dr. Hung’s presentations. Firstly, the Dean of the Faculty of
Medicine, Gadjah Mada University, dr. Titi Savitri, shared her opinion about areas of One Health in education, research, and
practice and the collaboration of three disciplines such as Faculty of Medicine, Faculty of Veterinary Medicine and Faculty
of Public Health. She wondered about how “multidsciplinary” would work in practice? She also wanted to discuss the role of
the institutions in determining the competencies and how to get support and work together through other collaborative
projects.
Meanwhile, the President of IDI, dr. Prijo Sidipratomo, asked about an MoU between medicine and veterinary medicine and
about support from medicine and veterinary medicine professional associations. The Dean of the Faculty of Medicine
Hassanudin Makassar asked about standard competencies of medicine, public health, and veterinary medicine. He
wondered that “is it as a guideline or not?” because his faculty had the standards since long ago. He also shared his opinion
about a new paradigm: academic to social accountability. Dr. Irene Jansen, the DAAD Indonesia representative, also
discussed about the universities role in OH, the funding system for basic research, how the government will support this in
terms of funding, and consideration for capacity building in OH. After the discussion, the symposium was continued with
Introduction of the One Health Concept topic.
Before the group discussion began, speakers who were from multiple disciplines introduced their views on OH concepts to
participants. From medicine, the One Health concept was introduced by Vice Dean from Faculty of Medicine Gadjah Mada
University, Dr. Abu Tholib Aman, Sp.MK, MSc., Ph.D. The Public Health One Health concept was presented by Dean from
Faculty of Public Health Universitas Indonesia, Drs. Bambang Wispriyono, Apt., Ph.D. The last concept of One Health came
from Faculty of Veterinary Medicine Dean, Bogor Agricultural Institute, Drh. Srihadi Agungpriyono, Ph.D.
Day 1
After a break, participants were separated into 3 different groups. Group 1 discussed “Overview of SEAOHUN: Vision, Mission,
Objectives” and Indonesian needs - How to Make the INDOHUN Network work”. The group discussion in Group 1 was headed by
Drs. Bambang Wispriyono, Apt., Ph.D. During discussion of the topic a number of issues were worked through, including national
health problems, emerging pandemic threats (transportation, tourism, and bioterrorism), differentiated responsibilities and
collaboration, stakeholder identification, and boundary partners.
Group 2 discussed “Research, Training and Exchange Programs” which was facilitated by Dr. drh. DennyW. Lukman, MSi. They
also discussed curriculum-based research, emerging and re-emerging diseases, advanced technology, policy, university
internationalization, trans-disciplinary approach, and student involvement. The last group, Group 3, talked about “INDOHUN’s
student Core Competencies and Curriculum Mapping”. Group 3 was facilitated by Prof. Dr. drh. Wayan T. Artama. They
discussed the topic around several approaches such as research-based curriculum, OH concepts on promotive, prevention,
curative, and rehabilitation integrated into the curriculum, OH curriculum and module development, integrated OH field work,
and the development of a credit transfer system. After group discussions, each group had to present the resultsof the discussions
on Day 2.
INDOHUN SYMPOSIUM REPORT 2012
Day 2
GROUP 1
PRESENTATION
On the 2nd Day, the symposium began with refreshment at
the opening followed by summaries of the group discussions
from Day 1. The first presentation came from Group 1 which
was facilitated by Drs. Bambang Wispriyono, Apt., Ph.D. Group
1 presented about “Overview of SEAOHUN : Vision, Mission,
and Objectives & Indonesian needs - How to Make The
INDOHUN Network work”.
Group 1 opened by presenting the vision of SEAOHUN which is
“fostering sustainable transdisciplinary capacity building to
respond to emerging and re-emerging infectious and
zoonotic diseases” while its mission is to “leverage the training,
education, and research capacities of the university network
to build the skills, knowledge and attitude base for One Health
leaders and to develop education, research, and public
services capacities of the university network to build the
competencies for One Health leaders”. They also presented
SEAOHUN’s 4 objectives (1) to promote and advance the One
Health approach for control of emerging and re-emerging
infectious and zoonotic diseases, (2) to improve the
competencies of One Health professionals, (3) to build a One
Health evidence base through research activities, and (4) to
build cadres of trained professional to be One Health current
and future leaders.
The discussion of group 1 resulted in their views on possible
INDOHUN objectives. These were (1) to improve
competencies in each profession to apply to One Health, (2)
to build a sustainable network (International and National
Experts, Institutions, etc), (3) to develop the One Health
approach for control of emerging and re-emerging and
zoonotic diseases, (4) to improve skills, knowledge, and
attitude based on One Health approach, (5) to strengthen
One Health evidence base through research activities, and
(6) to build strong leadership for the future s of One Health.
They also identified a number of national One Health issues:
§ Zoonotic diseases
§ Emerging and re-emerging diseases
§ Approaches
§ Lack of Communication
§ Minimum Budget
§ Mechanism
§ System
§ Low Awareness
§ Decentralisation
§ Skills
§ Policy
§ Leadership at all level
How can universities assist government to further the OH
approach? Group 1 separated this into 4 ideas. The first idea
was related to zoonotic diseases. They argued that
universities can assist government in zoonotic diseases by
developing the curriculum of zoonotic diseases for
education, facilitating collaborative research on zoonotic
diseases, developing the laboratory and other facilities which
are related to zoonotic diseases, and improving the skills of
university staff in this area
With the second idea, they discussed approaches to support
government with seminars, workshops, training, consultation,
socialization to community (media electronic, mass media,
etc). The third idea was research to assist government. They
argued that the result of a study will contribute to improve
and strengthen government. The last point was to include
education in assisting government using in-house training to
produce health workers, research, both applied and basic,
and public services, and advocacy training. Group 1 also
discussedstrengthening of biosecurity and biosafety systems
and regulations for emerging pandemic threats.
10 - INDOHUN SYMPOSIUM REPORT 2012
The Group 1 representative also explained about the roles and responsibilities among multiple disciplines,
government, and the community. Public health would take roles in surveillance, monitoring, and public
awareness while government and veterinary medicine also had those tasks with medical and veterinary services,
with vaccination as further responsibilities. In addition, medicine only took roles in medical services, treatments ,
vaccination, and public awareness. Group 1 also argued that community only take responsibility in public
awareness.
INDOHUN SYMPOSIUM REPORT 2012 - 11
Roles & Responsibilities
GROUP 2 PRESENTATION
The next presentation came from Group 2 who discussed
“Research, Training & Exchange Programs”. They
presentedtheresultanddivideditin7mainideas.
Group 2 was interested to explain in more detail about
curriculum-based research. The discussion decided that
basic research was based on local context using a holistic
and comprehensive approach. The second point of their
discussion was multidisciplinary research. It meant
research not only in one field of study but also across the
disciplines. They thought that it was related to the One
Health concept. The group also argued that research
activities should be embedded in the curriculum. The
research must have benefits to the curriculum in the
university. They were interested in the development of
research trees at faculty, university, or regional levels and
the dissemination of result of the studies. The group also
explained that research should be classified based on
capacity levels of researchers. It had to be defined among
undergraduate,postgraduate,juniororseniorstafflevels.
Howtoimplementit?Group2hadtheideaofinsertingthe
curriculum in specific subjects (e.g. research
methodology, planning health program, thesis, paper,
assignments,etc)
Group 2 shared their ideas in advanced technology
research in response to emerging zoonotic diseases. They
thought that this was a new idea with some new
approaches such as vaccine development, new-drug
development, technology that has the ability to detect
threats earlier (early detection), bio-marker detection
(genetics, proteins, etc), exchange activities for bio-
markers.
1) Curriculum-basedResearch
2) Advanced technology in response to emerging
zoonoticdiseases
3) Policy-relatedresearch
4) Emergingandre-emergingdiseases
5) UniversityInternationalization
Group 2 was also interested in developing a study about
policy. The results can be used in an advocacy role to the
policy makers based on the research results. This can also
be involved in the implementation of policy and in the
monitoring and evaluation process of the policy. By
gaining lessons learned from the policy implementation,
it would improve curricula in the universities. The
dissemination of the research results can be informed
throughseminars,workshops,pressconferences,etc
Group 2 used preparation for emerging and re-emerging
diseases as a topic of training. The target of the training
was health officers, students, community, community
leaders, and lecturers. The training would be held based
on One Health Core Competencies (OHCC). The materials
and technical subjects included were surveillance,
statistical analysis, biostatistics, project management,
strategy development, collaboration skills, community
diagnosis, and laboratory diagnosis. The training would
be implemented using simulations (disaster response
simulation), elective modules for students, workshop
series, collaborative workshop between universities, and
MoU with governments (e.g. Puslitbangkes, related
ministries,departments).
University Internationalization was an idea that Group 2
were concerned about. It was related to exchange
programs that would be used in INDOHUN across
regional and local institutions. Group 2 thought that
shared curricula, studium generale, seminars, workshops
dissemination of OH material, student exchanges,
lecturer exchanges, collaborative research,
benchmarking, joint publications, and developing a One
Health Journal can be used as a way of University
Internationalization.
12 - INDOHUN SYMPOSIUM REPORT 2012
7) StudentinvolvementinOneHealth
Group 2 explained that the involvement of students
could occur in lectures, discussions, public service,
special interest groups (SIG) meetings (example SIG on
zoonotic, SIG on poultry, etc), student field practice
(KKN), seminars, research, campaigns, and student
exchanges.
6) Trans-disciplinaryTeaching
Trans-disciplinary teaching was based on the
competency in the One Health concept. Group 2 gave
Avian Influenza as an example. Virologists took the place
of virus examiners because it was related with their field.
Furthermore, the diseases would be examined by
specialists in internal medicine and radiology.
Pathologists (Clinical Pathologist & Anatomical
Pathologist) would take responsibility to learn the
pathology of the disease. In addition, public awareness
would be introduced by Public Health and Veterinary
Public Health experts. The OH concept in Trans-
disciplinary Teaching that group 2 presented, not only
talked about health but also included economistss,
sosiologists, anthropologists, communication experts,
andinformationtechnologyexperts.
INDOHUN SYMPOSIUM REPORT 2012 - 13
The last presentation conducted by Group 3. This group
presented “INDOHUN’s student Core Competencies and
Curriculum Mapping”. Their discussions centred round
core competencies in One Health for response to
Emerging Infectious Diseases outbreaks. The
competencies included technical, leadership,
management skills, communication and collaboration,
analyticalskills,andculturalandethicalvalues.
Technical Competencies of One Health for response to
Emerging Infectious Diseases outbreaks consisted of
diagnosing (identifying the cause of) the outbreaks,
analyzing, and solving problems. Furthermore, the
leadership skills would improve the ability to develop or
implement the One Health approach, problem-solving
skills, the ability to work as a group (internally and
externally), and the ability to compromise (win-win
solution). The communication and collaboration skills
consisted of inter-professional Communication and
Collaboration (internally and externally), making
network skills, relationship building, interfacing with
others, and making Effective communication through
others.
Group 3 also explained that analytical skills should be
accompanied by the ability to prioritize, ability to
diagnose, analyze, and respond to situations, and the
ability to monitor and evaluate. Meanwhile, Cultural and
Ethical Values consisted of the ability to appreciate local
wisdom, cultures and religions, and the ability to install
localapproachesintacklinglocalissues.
The discussion in Group 3 resulted in the belief that each
faculty should undertake curriculum mapping to
integrate the One Health concept. The One Health
concept can be included into existing curricula by
inserting the concept into existing courses or modules or
creating new courses. It also can be fused with Student
Study-serviceActivities(KuliahKerjaNyata).
GROUP 3
PRESENTATION
The iIntegration of the One Health concept
couldoccurifthedisciplinesfoundsolutionsfor
collaboration among with others (physician,
nurse, Vveterinarians. pharmacists, public
health and social science specialists),
collaboration among leaders, and carrying out
pilot project integratingon among disciplines.
They would be used by inserting the One Health
concept into the existing curriculum in lectures,
case studies, assignments, field works, visits,
elective studies, seminars, symposiuma, or
conferences for Continuing Professional
Development(CPD).Theintegrationalsocanbe
exertedintrainingswhichconsistedofstudents
activities (extra-curriculumar) among faculties
INDOHUN SYMPOSIUM REPORT 2012 - 15
(integrated field work/social services),
developed trainings specific on awareness and
preparedness of outbreak responses (possible
topics: disaster, anthrax, avian influenza, or
others relevant to local problems). The At least
one trainings should be completed at least one
during the period of study. This integration was
composed proposed by a collaborative team
consisteding of medicine, public Hhealth,
Vveterinary medicine, Nnursesing, and sSocial
scientists. The Credit Transfer System would be
used to develop new modules/courses and
curriculumagreementamongthefaculties.
In closing the Symposium, the Vice Minister of Health,
Republic of Indonesia, Prof. Dr Ali Ghufron Mukti, MSc,
PhD, reviewed the discussions from the beginning until
the second day. He presented closing remarks and
conclusions of this Symposium. He explained that the One
Health concept consisted of three main disciplines,
Medicine, Public Health, and Veterinary Medicine. He
stated that participants of this symposium came from
universities (81%), donors (8%), governments (4%), and
professional organizations (7%). He also informed all
participants that INDOHUN had a number of programs.
Those programs were INDOHUN One Health Curriculum
Development Program, INDOHUN Capacity Building
Program, INDOHUN One Health Future Leader Program,
and INDOHUN Research Program. Those were related to
the three topics of group discussions which consisted of
“How to Make The INDOHUN Network work”, “Research,
training & exchange programs”, and “INDOHUN's student
CoreCompetenciesandCurriculumMapping”.
The final presentation, came from the Director of the
Zoonotic National Committee, dr. Emil Agustiono, M.Kes.
He presented “Challenges and Opportunities to Build One
Health National Policy across Sectors”. Dr. Emil Agustiono,
MPH (Epidemiologist) is the Deputy Coordinating
Minister for People's Welfare and Secretary of National
Commission of Zoonotic Control. Dr. Emil said that the One
Health approach complexity consisted of Wildlife health,
Livestock health and Human health. Those were in
agricultural, urban and natural ecosystem health. He also
discussed Current Challenges in Strengthening Multi
Sectoral Zoonotic Risk Reduction which were Human
Surveillance, Vaccination, Accountability and
Transparency, Wet Market Clean-Up, Biosecurity, Anti-
virals, Social Isolation, Public private partnerships, etc.
Based on his presentation, the government is now re-
focusing its national strategies in zoonotic control &
pandemicinfluenzapreparedness.
CLOSING
16 - INDOHUN SYMPOSIUM REPORT 2012
This symposium released four conlclusions
First
Second
Third
Fourth
The participants who represent Indonesia’s prominent universities, agreed to
support the national One Health University network and to participate in the future
activities
The participants agreed with and supported the three main INDOHUN programs
on training, education, and research
The participants and university networkat INDOHUN welcomed the RESPOND-
USAID program to support One Health university networking in Indonesia
The Vice Minister of Health fully supports the One Health University network
through its government policy to achieve the goal of controlling emerging zoonotic
diseases.

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Report indohun symposium 2012

  • 1. Emerging Pandemic Threats Program PREDICT RESPOND PREVENT IDENTIFY Universitas Indonesia designed by. @whawhay RREPORT INDOHUN - Indonesia One Health University NetworkINDOHUN - Indonesia One Health University NetworkINDOHUN - Indonesia One Health University NetworkINDOHUN - Indonesia One Health University Network REPORT Inaugural National Symposium Bali, Indonesia May 3-4, 2012 Inaugural National Symposium Bali, Indonesia May 3-4, 2012 Inaugural National Symposium Bali, Indonesia May 3-4, 2012
  • 2. Foreword 1 Background 2 The Symposium 4 Day 1 6 Day 2 9 GROUP 1 PRESENTATION 10 GROUP 2 PRESENTATION 12 GROUP 3 PRESENTATION 15 CLOSING 16 design, photo, layout Wahyu Septiono organizer Wiku Adisasmito (head) Dinda Prita Vaudika Wahyu Septiono Vilda Rachman Amir Phatthamon Jantalae Putu Mas Dewi Anocha Chuenwanta Contents
  • 3. This report documents the outcome of the INDOHUN Inaugural National Symposium. INDOHUN is a national One Health University Network in Indonesia, linked to the regional South East Asia One Health University Network (SEAOHUN), whose mission is to leverage the training, education, and research capacities of the university network to build the skills, knowledge and attitude base for One Health leaders. The INDOHUN Inaugural National Symposium report reflects in detail on setting missions for Indonesian Universities and on appropriate ways to work with the Government to embed and implement the One Health approach to disease outbreak response, investigation, surveillance and control in Indonesia. A strategic plan for INDOHUN and its member organisations will be developed following the meeting. The organisers, Prof. Drh. Wiku Adisasmito, MSc, Ph.D. (INDOHUN Chairperson), the team from the National Coordinating Office at the University of Indonesia and SEAOHUN extend their gratitude to every individual and organisation who contributed to the symposium, the group and panel discussions, and this report, whether on or offstage. The Chairperson would like to thank in particular Mr. Brian McLaughlin, Regional Director of USAID-RESPOND, and Dr. Stanley Fenwick, Regional Technical Director of USAID-RESPOND, for playing an important part in the preparation of this meeting, and to all organizers, for making this event success. Prof. Wiku Adisasmito, DVM, MSc, PhD. Foreword 1 - INDOHUN SYMPOSIUM REPORT 2012
  • 4. 2 - INDOHUN SYMPOSIUM REPORT 2012 Faculties currently in the regional network included Mahidol University (Veterinary Science, Tropical Medicine), Chiang Mai University (Veterinary Medicine, Nursing), University of Indonesia (Public Health), University of Gadjah Mada (Veterinary Medicine, Medicine), Institut Pertanian Bogor (Veterinary Medicine), Universiti Kebangsaan Malaysia (Medicine, Health Sciences), Universiti Putra Malaysia (Veterinary Medicine), Hanoi School of Public Health, Hanoi Medical University (Institute of Preventive Medicine and Public Health), University of Agriculture Hanoi (Veterinary Medicine). Structure of SEAOHUN BACKGROUND As we know there are many threats to our health status, both globally and locally. These can also create serious problems for Indonesia if this country cannot effectively prepare for the threats. The latest pandemics (SARS, H5N1, and H1N1), global trade of livestock, climate change, pathogen ecology and bioterrorism are all related to the threats and should be handled professionally using the One Health (OH) approach, where multidisciplinary teams work both cross- disciplinarily and cross-sectorally to respond. This needs involvement from those who are in line with the vision to improve the health status in Indonesia. Based on this need, the South East Asia One Health University Network (SEAOHUN) is supporting the implementation and strengthening of One Health in the South East Asia region and within countries in the region by the creation of national OH university networks. In Indonesia, this network is starting to develop across disciplines. The preparation of forming INDOHUN began in January 2012 at the first meeting of university faculties in Yogyakarta. This symposium in Bali follows on from that inaugural meeting and is the first INDOHUN symposium with many participants from universities, communities, government and other health-related stakeholders in Indonesia.
  • 5. 3 - INDOHUN SYMPOSIUM REPORT 2012 Each of the four countries has set up a National Network (INDOHUN in Indonesia, MYOHUN in Malaysia, THOHUN in Thailand, and VOHUN in Vietnam) to share and disseminate the benefits of the regional network – SEAOHUN. These involve multiple faculties within each country who are involved in educating professionals in the skills required to support the One Health approach. The Indonesia One Health University Network (formally known as INDOHUN) was established in January 2012 as a platform where leading academicians, stakeholders, scientists, communities, and professionals from Indonesia could transcend provincial and national borders to address issues of regional and global concern. The mission of INDOHUN is to implement the One Health concept across the country with the support of multiple disciplines. The vision is to improve the health of people, animals and the ecosystem, which are all interconnected for global survival. This meeting aimed to unite all health sectors in Indonesia (especially university) to conceive and build one health concept in Indonesia. The discussion topics of the symposium are the vision, mission, objectives and Indonesian essential activities, such as how to establish and sustain INDOHUN, to develop collaborative research, training and exchange programs, and to identify INDOHUN’s OH core competencies for use in university curriculum mapping. The discussion topics are based on academic necessities that are essential in Indonesia to meet the future needs of the integrated health systems. In the future, the members of INDOHUN are expected to collaborate responding the threats of health status in Indonesia.
  • 6. 1) Faculty of Veterinary Medicine, Bogor Agricultural Institute 2) Faculty of Medicine, Gadjah Mada University 3) Faculty of Veterinary Medicine, Gadjah Mada University 4) Dr. drh. Srihadi Agungpriyono, PAVet (K) < > Dr. Agus Setiyono < > Dr. drh. Denny Lukman, M.Si < > Dr. drh. Hadri Latif, M.Si < > Prof Dr. Bambang Pontjo P. < > Dr. Hera Maheshwari < > dr. Rr. Titi Savitri Prihatiningsih, M.A., M.Med. Ed., Ph.D. < > dr. Abu Tholib Aman, Sp. MK, MSc., Ph.D < > Prof. dr. Sofia Mubarika, M.Med.Sc.,PhD dr. Ahmad Hamim Sadewa,PhD < > Dr. dr. Mahardika A. Wijayanti < > dr. Retno Sutomo, Sp.A, Ph.D < > dr. Riris Andono, Ph.D < > Prof. Dr. drh. Wayan Tunas Artama < > Dr. drh. Agnesia Endang Tri Hastuti Wahyuni, M. Si < > Prof. Em. drh. Setyawan Budiharta, MPH, PhD < > Drh. Heru Susetya, MSi. Ph.D < > Drh. Yudha Heru Fibrianto, MP, Ph.D < > Drh. Surya Agus Prihatna, MP < > ysrihadi@yahoo.com agusetiyo@yahoo.com dennylukman@hotmail.com hadrilatif@yahoo.com bpontjo4@gmail.com hera_maheshwari@yahoo.com savitri66@yahoo.co.uk atholib04@yahoo.com hamdewa@yahoo.com dikafugm@yahoo.co.id rsutomo@yahoo.com risandono.ahmad@gmail.com artama@ugm.ac.id wahyuni_aeth@yahoo.com setyawan@ugm.ac.id herususetya@ugm.ac.id fibrianto1802@gmail.com prinatno@ugm.ac.id Faculty of Public Health, Universitas Indonesia Drs. Bambang Wispriyono, Apt, PhD < > Dr. Robiana Modjo, SKM, M.Kes < > Dr. dra. Evi Martha, M.Kes < > Dr. drg. Ririn Arminsih W., M.Kes < > Dr. Dra. Dewi Susana, M.Kes < > Vetty Yulianty Permanasari, S.Si, MPH < > wispriyono@cbn.net.id, bwispri@ui.edu 71.bian@gmail.com evimartha@yahoo.com, evimartha@gmail.com uwaraw@yahoo.com dsusanna2@yahoo.com vetty.yulianty@yahoo.com The symposium was successfully held from May 3 – 4 2012 in the Sanur Paradise Hotel, Bali, Indonesia. This was the first INDOHUN symposium with 92 participants from various disciplines and organizations. The names and organizations of the participants who attended the symposium were: INDOHUN SYMPOSIUM REPORT 2012 - 4 Dr. Dra. Ratu Ayu Dewi Sartika, Apt., M.Sc. < > Dr. drg. Indang Trihandini, M. Kes < > Prof. dr. Pratiwi P. Sudarmono, PhD, SpMK(K) Dr. Anis Karuniawati, Ph.D., Sp. MK (K) < > Dr. Astrid Sulistomo Sunardji, SE, MM ( ) < > ayu_fkm_ui@yahoo.com itrihandini@gmail.com akaruniawati@yahoo.com sunardji@yahoo.com 5) Faculty of Medicine, Universitas Indonesia 6) Universitas Indonesia Vice Rector 7) Faculty of Medicine, Udayana University 8) Faculty of Veterinary Medicine, Udayana University 9) Udaya University rector 10) Faculty of Medicine, Brawijaya University 11) Faculty of Veterinary Medicine, Brawijaya University 12) Faculty of Public Health, Airlangga University 13) Faculty of Medicine, Airlangga University Prof. Dr. dr. Ketut Suastika, Sp. PD-KEMD < > Prof. Dr. dr. Putu Astawa, Sp.OT, M.Kes Dr. dr. Ni Nyoman Sri Budayanti, Sp. MK (K) < > Prof. Dr. Drh. I Made Damriyasa, MS. < > Dr. N. Adi Suratma, MP < > drh. I Made Sukada, Msi < > Prof. Dr. dr. I Made Bakta, Sp.PD (KHOM) ( ) < > Dr.dr. Karyono Mintaroem, SpPA. < > Dr. dr. Sri Andarini, M.Kes < > Prof. Dr. drh. Pratiwi Trisunuwati, MS < > Prof. Dr. Tri Martiana, dr., MS < > Prof. dr. Soejajadi Keman, MS, Ph.D. < > Prof. Dr. H. J. Mukono, dr., MS, MPH < > Prof. Dr. Indri Safitri Mukono, dr., MS < > ksuas@yahoo.com nymsri@yahoo.com madedamriyasa@yahoo.com adisuratma@yahoo.co.id madesukada@gmail.com rector@unud.ac.id, bakta@unud.ac.id kmr16yoni@yahoo.com, kmr16.fk@ub.ac.id sriandarini@yahoo.com pratiwi_trisunuwati@yahoo.com tmartiana3356@yahoo.com soedja_keman@yahoo.com mukono_j@yahoo.com indrisafitri@yahoo.com The Symposium
  • 7. 13) Faculty of Medicine, Airlangga University 14) Faculty of Veterinary Medicine, Airlangga University 15) Faculty of Public Health, Hassanudin University 16) Faculty of Medicine, Hassanudin University 17) Faculty of Public Health University of North Sumatera 18) Faculty of Public Health Sriwijaya University 19) Faculty of Public Health University of Mulawarman 20) Faculty of Medicine University of Nusa Cendana 21) Faculty of Medicine University of Mataram 22) Chiangmai University 23) Universiti Kebangsaan Malaysia 24) Universiti Putra Malaysia 25) Hanoi School of Public Health 26) Hanoi University of Agriculture 27) World Health Organization (WHO) Indonesia Representative 28) ASEAN 29) BBV Denpasar Prof. Dr. Indri Safitri Mukono, dr., MS < > Prof. Hj. Romziah Sidik, PhD. < > Dr. drh. Anwar Ma'ruf, M.Kes < > drh. Didik Handijatno, MS, Ph.D < > Prof. Dr. dr. H. M. Alimin Maidin, MPH < > Prof. dr. Irawan Yusuf, Ph.D < > Prof. Lucia Muslimin Dr. Ir. Zulhaida Lubis, M. Kes < > Hamzah Hasyim, S.KM, M.KM < > dr. H. Emil Bachtiar Moerad, Sp.P < > dr. A.A. Heru Tjahjono < > dr. Doddy Ario Kumboyo, Sp.OG (K) < > dr. Ida Ayu Eka Widiastuti, M.Fis < > Assoc. Prof. Dr. Lertark Srikitjakarn < > Prof. Dr. Baharudin Bin Omar < > Prof. Dr. Mohd. Hair Bejo < > Dr. Nguyen Viet Hung < > Assoc. Prof. Dr. Nguyen Huu Nam < > Dr. Nirmal Kandel < > Dr. Montira Pongsiri < > indrisafitri@yahoo.com romzi@unair.ac.id, romez02@yahoo.com anwarunair@gmail.com didik_fkhunair@yahoo.co.id aliminmaidin@gmail.com irawanyusuf@yahoo.com idaulinas@gmail.com hamzah.hasyim@gmail.com emilpsku@yahoo.co.id aa.heru@yahoo.com doddy_ak@yahoo.co.id widiastutidayu@yahoo.com deanvet@chiangmai.ac.th bahar@medic.ukm.my, bahaudinhjomar@gmail.com hair.bejo@gmail.com Hung.Nguyen@unibas.ch nhnam@hua.edu.vn kandeln@searo.who.int pongsiri.montira@epa.gov, PongsiriMJ@state.gov The Symposium 29) BBV Denpasar 30) DAAD 31) FAO Indonesia 32) USAID/INDONESIA 33) USAID-RESPOND, 34) Tufts University 35) USAID-PREVENT 36) Ministry Coodinator of People Welfare 37) Zoonotic National Committee 38) AIPTKMI 39) IDI 40) IAKMI 41) PAMKI 42) PDK3MI drh. Anak Agung Gde Putra, M.Sc., Ph. D < > (Deutscher Akademischer Austauschdienst) Dr. Irene Jansen < > Dr. James McGrane < > Dr. Artha Camelia < > regional office, Bangkok, Thailand Dr. Brian McLaughlin < > Dr. Stanley Fenwick < > Anocha Chuenwanta < > Phatthamon Jantalae < > Dr. Jennifer Steele (Tufts University) < Dr. Linda Olsen Keller (University of Minnesota) < > Dr. Saul Tzipori <s > Mr. Owen Wrigley < > dr. Chabib Afwan < > Rama Fauzi < > dr. Emil Agustiono, M.Kes < > Dr. dra. Emma Rachmawati, M.Kes < > (Indonesia Medical Association) Dr. Prijo Sidipratomo, Sp.Rad (K) < > (Indonesia Public Health Association) Dr. dr. Ridwan Thaha, M. Sc. < > (IndonesiaAssociation of Clinical Microbiology Indonesia Experts) Prof. dr. Agus Sjahrurachman, Sp.MK, Ph.D < > (Association of Indonesia Community Medicine Pubic Health) dr. Harun Al Rasyid, MPH < dic- denpasar@indo.net.id jansen@daadjkt.org james.mcgrane@fao.org acamellia@usaid.gov brian_mclaughlin@dai.com stanley_fenwick@dai.com anocha_chuenwanta@dai.com phatthamon_jantalae@dai.com jennifer.steele@tufts.edu> olson173@umn.edu aul.tzipori@tufts.edu owrigley@fhi360.org chabibaf@yahoo.com ramafauzi26@gmail.com emil54_agustiono@yahoo.com era_five@yahoo.com sidipratomo@yahoo.com ridwan_609@yahoo.com agussjahrurachman@yahoo.co.id haroen09@gmail.com> 5 - INDOHUN SYMPOSIUM REPORT 2012
  • 9. The 1st day of the INDOHUN Inaugural National Symposium was on May 3rd, 2012 in Sanur Paradise Hotel, Bali. Participants began the symposium by registering their attendance at 08.00 AM. Following registration, the Symposium was opened with Welcome Remarks by Prof. Dr. dr. I Made Bakta, Sp.PD (KHOM), Rector of Udayana University, and an Introductions and Agenda speech by Prof. drh. Wiku Adisasmito, MSc., Ph.D. Before closing his speech, Prof. Wiku also asked the participants to take a moment of silence and condolence for the Minister of Health Republic of Indonesia who passed away a day before the symposium began. At 09.15 AM, Dr. Stanley Fenwick presented a talk entitled “Overview of One Health, SEAOHUN, and Indonesia Perspective”. In addition, Dr. Nguyen Viet Hung presented his summary of the establishment of a sister network entitled“Vietnam One Health University Network (VOHUN): Lessons learned” . After both presentations, a panel discussion was held to elicit more information and to develop some new ideas. The discussion was facilitated by Prof. Em. drh. Setyawan Budiharta, MPH, Ph.D. Some participants were interested to discuss Dr. Fenwick and Dr. Hung’s presentations. Firstly, the Dean of the Faculty of Medicine, Gadjah Mada University, dr. Titi Savitri, shared her opinion about areas of One Health in education, research, and practice and the collaboration of three disciplines such as Faculty of Medicine, Faculty of Veterinary Medicine and Faculty of Public Health. She wondered about how “multidsciplinary” would work in practice? She also wanted to discuss the role of the institutions in determining the competencies and how to get support and work together through other collaborative projects. Meanwhile, the President of IDI, dr. Prijo Sidipratomo, asked about an MoU between medicine and veterinary medicine and about support from medicine and veterinary medicine professional associations. The Dean of the Faculty of Medicine Hassanudin Makassar asked about standard competencies of medicine, public health, and veterinary medicine. He wondered that “is it as a guideline or not?” because his faculty had the standards since long ago. He also shared his opinion about a new paradigm: academic to social accountability. Dr. Irene Jansen, the DAAD Indonesia representative, also discussed about the universities role in OH, the funding system for basic research, how the government will support this in terms of funding, and consideration for capacity building in OH. After the discussion, the symposium was continued with Introduction of the One Health Concept topic. Before the group discussion began, speakers who were from multiple disciplines introduced their views on OH concepts to participants. From medicine, the One Health concept was introduced by Vice Dean from Faculty of Medicine Gadjah Mada University, Dr. Abu Tholib Aman, Sp.MK, MSc., Ph.D. The Public Health One Health concept was presented by Dean from Faculty of Public Health Universitas Indonesia, Drs. Bambang Wispriyono, Apt., Ph.D. The last concept of One Health came from Faculty of Veterinary Medicine Dean, Bogor Agricultural Institute, Drh. Srihadi Agungpriyono, Ph.D. Day 1
  • 10. After a break, participants were separated into 3 different groups. Group 1 discussed “Overview of SEAOHUN: Vision, Mission, Objectives” and Indonesian needs - How to Make the INDOHUN Network work”. The group discussion in Group 1 was headed by Drs. Bambang Wispriyono, Apt., Ph.D. During discussion of the topic a number of issues were worked through, including national health problems, emerging pandemic threats (transportation, tourism, and bioterrorism), differentiated responsibilities and collaboration, stakeholder identification, and boundary partners. Group 2 discussed “Research, Training and Exchange Programs” which was facilitated by Dr. drh. DennyW. Lukman, MSi. They also discussed curriculum-based research, emerging and re-emerging diseases, advanced technology, policy, university internationalization, trans-disciplinary approach, and student involvement. The last group, Group 3, talked about “INDOHUN’s student Core Competencies and Curriculum Mapping”. Group 3 was facilitated by Prof. Dr. drh. Wayan T. Artama. They discussed the topic around several approaches such as research-based curriculum, OH concepts on promotive, prevention, curative, and rehabilitation integrated into the curriculum, OH curriculum and module development, integrated OH field work, and the development of a credit transfer system. After group discussions, each group had to present the resultsof the discussions on Day 2. INDOHUN SYMPOSIUM REPORT 2012
  • 11. Day 2
  • 12. GROUP 1 PRESENTATION On the 2nd Day, the symposium began with refreshment at the opening followed by summaries of the group discussions from Day 1. The first presentation came from Group 1 which was facilitated by Drs. Bambang Wispriyono, Apt., Ph.D. Group 1 presented about “Overview of SEAOHUN : Vision, Mission, and Objectives & Indonesian needs - How to Make The INDOHUN Network work”. Group 1 opened by presenting the vision of SEAOHUN which is “fostering sustainable transdisciplinary capacity building to respond to emerging and re-emerging infectious and zoonotic diseases” while its mission is to “leverage the training, education, and research capacities of the university network to build the skills, knowledge and attitude base for One Health leaders and to develop education, research, and public services capacities of the university network to build the competencies for One Health leaders”. They also presented SEAOHUN’s 4 objectives (1) to promote and advance the One Health approach for control of emerging and re-emerging infectious and zoonotic diseases, (2) to improve the competencies of One Health professionals, (3) to build a One Health evidence base through research activities, and (4) to build cadres of trained professional to be One Health current and future leaders. The discussion of group 1 resulted in their views on possible INDOHUN objectives. These were (1) to improve competencies in each profession to apply to One Health, (2) to build a sustainable network (International and National Experts, Institutions, etc), (3) to develop the One Health approach for control of emerging and re-emerging and zoonotic diseases, (4) to improve skills, knowledge, and attitude based on One Health approach, (5) to strengthen One Health evidence base through research activities, and (6) to build strong leadership for the future s of One Health. They also identified a number of national One Health issues: § Zoonotic diseases § Emerging and re-emerging diseases § Approaches § Lack of Communication § Minimum Budget § Mechanism § System § Low Awareness § Decentralisation § Skills § Policy § Leadership at all level How can universities assist government to further the OH approach? Group 1 separated this into 4 ideas. The first idea was related to zoonotic diseases. They argued that universities can assist government in zoonotic diseases by developing the curriculum of zoonotic diseases for education, facilitating collaborative research on zoonotic diseases, developing the laboratory and other facilities which are related to zoonotic diseases, and improving the skills of university staff in this area With the second idea, they discussed approaches to support government with seminars, workshops, training, consultation, socialization to community (media electronic, mass media, etc). The third idea was research to assist government. They argued that the result of a study will contribute to improve and strengthen government. The last point was to include education in assisting government using in-house training to produce health workers, research, both applied and basic, and public services, and advocacy training. Group 1 also discussedstrengthening of biosecurity and biosafety systems and regulations for emerging pandemic threats. 10 - INDOHUN SYMPOSIUM REPORT 2012
  • 13. The Group 1 representative also explained about the roles and responsibilities among multiple disciplines, government, and the community. Public health would take roles in surveillance, monitoring, and public awareness while government and veterinary medicine also had those tasks with medical and veterinary services, with vaccination as further responsibilities. In addition, medicine only took roles in medical services, treatments , vaccination, and public awareness. Group 1 also argued that community only take responsibility in public awareness. INDOHUN SYMPOSIUM REPORT 2012 - 11 Roles & Responsibilities
  • 14. GROUP 2 PRESENTATION The next presentation came from Group 2 who discussed “Research, Training & Exchange Programs”. They presentedtheresultanddivideditin7mainideas. Group 2 was interested to explain in more detail about curriculum-based research. The discussion decided that basic research was based on local context using a holistic and comprehensive approach. The second point of their discussion was multidisciplinary research. It meant research not only in one field of study but also across the disciplines. They thought that it was related to the One Health concept. The group also argued that research activities should be embedded in the curriculum. The research must have benefits to the curriculum in the university. They were interested in the development of research trees at faculty, university, or regional levels and the dissemination of result of the studies. The group also explained that research should be classified based on capacity levels of researchers. It had to be defined among undergraduate,postgraduate,juniororseniorstafflevels. Howtoimplementit?Group2hadtheideaofinsertingthe curriculum in specific subjects (e.g. research methodology, planning health program, thesis, paper, assignments,etc) Group 2 shared their ideas in advanced technology research in response to emerging zoonotic diseases. They thought that this was a new idea with some new approaches such as vaccine development, new-drug development, technology that has the ability to detect threats earlier (early detection), bio-marker detection (genetics, proteins, etc), exchange activities for bio- markers. 1) Curriculum-basedResearch 2) Advanced technology in response to emerging zoonoticdiseases 3) Policy-relatedresearch 4) Emergingandre-emergingdiseases 5) UniversityInternationalization Group 2 was also interested in developing a study about policy. The results can be used in an advocacy role to the policy makers based on the research results. This can also be involved in the implementation of policy and in the monitoring and evaluation process of the policy. By gaining lessons learned from the policy implementation, it would improve curricula in the universities. The dissemination of the research results can be informed throughseminars,workshops,pressconferences,etc Group 2 used preparation for emerging and re-emerging diseases as a topic of training. The target of the training was health officers, students, community, community leaders, and lecturers. The training would be held based on One Health Core Competencies (OHCC). The materials and technical subjects included were surveillance, statistical analysis, biostatistics, project management, strategy development, collaboration skills, community diagnosis, and laboratory diagnosis. The training would be implemented using simulations (disaster response simulation), elective modules for students, workshop series, collaborative workshop between universities, and MoU with governments (e.g. Puslitbangkes, related ministries,departments). University Internationalization was an idea that Group 2 were concerned about. It was related to exchange programs that would be used in INDOHUN across regional and local institutions. Group 2 thought that shared curricula, studium generale, seminars, workshops dissemination of OH material, student exchanges, lecturer exchanges, collaborative research, benchmarking, joint publications, and developing a One Health Journal can be used as a way of University Internationalization. 12 - INDOHUN SYMPOSIUM REPORT 2012
  • 15. 7) StudentinvolvementinOneHealth Group 2 explained that the involvement of students could occur in lectures, discussions, public service, special interest groups (SIG) meetings (example SIG on zoonotic, SIG on poultry, etc), student field practice (KKN), seminars, research, campaigns, and student exchanges. 6) Trans-disciplinaryTeaching Trans-disciplinary teaching was based on the competency in the One Health concept. Group 2 gave Avian Influenza as an example. Virologists took the place of virus examiners because it was related with their field. Furthermore, the diseases would be examined by specialists in internal medicine and radiology. Pathologists (Clinical Pathologist & Anatomical Pathologist) would take responsibility to learn the pathology of the disease. In addition, public awareness would be introduced by Public Health and Veterinary Public Health experts. The OH concept in Trans- disciplinary Teaching that group 2 presented, not only talked about health but also included economistss, sosiologists, anthropologists, communication experts, andinformationtechnologyexperts. INDOHUN SYMPOSIUM REPORT 2012 - 13
  • 16. The last presentation conducted by Group 3. This group presented “INDOHUN’s student Core Competencies and Curriculum Mapping”. Their discussions centred round core competencies in One Health for response to Emerging Infectious Diseases outbreaks. The competencies included technical, leadership, management skills, communication and collaboration, analyticalskills,andculturalandethicalvalues. Technical Competencies of One Health for response to Emerging Infectious Diseases outbreaks consisted of diagnosing (identifying the cause of) the outbreaks, analyzing, and solving problems. Furthermore, the leadership skills would improve the ability to develop or implement the One Health approach, problem-solving skills, the ability to work as a group (internally and externally), and the ability to compromise (win-win solution). The communication and collaboration skills consisted of inter-professional Communication and Collaboration (internally and externally), making network skills, relationship building, interfacing with others, and making Effective communication through others. Group 3 also explained that analytical skills should be accompanied by the ability to prioritize, ability to diagnose, analyze, and respond to situations, and the ability to monitor and evaluate. Meanwhile, Cultural and Ethical Values consisted of the ability to appreciate local wisdom, cultures and religions, and the ability to install localapproachesintacklinglocalissues. The discussion in Group 3 resulted in the belief that each faculty should undertake curriculum mapping to integrate the One Health concept. The One Health concept can be included into existing curricula by inserting the concept into existing courses or modules or creating new courses. It also can be fused with Student Study-serviceActivities(KuliahKerjaNyata). GROUP 3 PRESENTATION
  • 17. The iIntegration of the One Health concept couldoccurifthedisciplinesfoundsolutionsfor collaboration among with others (physician, nurse, Vveterinarians. pharmacists, public health and social science specialists), collaboration among leaders, and carrying out pilot project integratingon among disciplines. They would be used by inserting the One Health concept into the existing curriculum in lectures, case studies, assignments, field works, visits, elective studies, seminars, symposiuma, or conferences for Continuing Professional Development(CPD).Theintegrationalsocanbe exertedintrainingswhichconsistedofstudents activities (extra-curriculumar) among faculties INDOHUN SYMPOSIUM REPORT 2012 - 15 (integrated field work/social services), developed trainings specific on awareness and preparedness of outbreak responses (possible topics: disaster, anthrax, avian influenza, or others relevant to local problems). The At least one trainings should be completed at least one during the period of study. This integration was composed proposed by a collaborative team consisteding of medicine, public Hhealth, Vveterinary medicine, Nnursesing, and sSocial scientists. The Credit Transfer System would be used to develop new modules/courses and curriculumagreementamongthefaculties.
  • 18. In closing the Symposium, the Vice Minister of Health, Republic of Indonesia, Prof. Dr Ali Ghufron Mukti, MSc, PhD, reviewed the discussions from the beginning until the second day. He presented closing remarks and conclusions of this Symposium. He explained that the One Health concept consisted of three main disciplines, Medicine, Public Health, and Veterinary Medicine. He stated that participants of this symposium came from universities (81%), donors (8%), governments (4%), and professional organizations (7%). He also informed all participants that INDOHUN had a number of programs. Those programs were INDOHUN One Health Curriculum Development Program, INDOHUN Capacity Building Program, INDOHUN One Health Future Leader Program, and INDOHUN Research Program. Those were related to the three topics of group discussions which consisted of “How to Make The INDOHUN Network work”, “Research, training & exchange programs”, and “INDOHUN's student CoreCompetenciesandCurriculumMapping”. The final presentation, came from the Director of the Zoonotic National Committee, dr. Emil Agustiono, M.Kes. He presented “Challenges and Opportunities to Build One Health National Policy across Sectors”. Dr. Emil Agustiono, MPH (Epidemiologist) is the Deputy Coordinating Minister for People's Welfare and Secretary of National Commission of Zoonotic Control. Dr. Emil said that the One Health approach complexity consisted of Wildlife health, Livestock health and Human health. Those were in agricultural, urban and natural ecosystem health. He also discussed Current Challenges in Strengthening Multi Sectoral Zoonotic Risk Reduction which were Human Surveillance, Vaccination, Accountability and Transparency, Wet Market Clean-Up, Biosecurity, Anti- virals, Social Isolation, Public private partnerships, etc. Based on his presentation, the government is now re- focusing its national strategies in zoonotic control & pandemicinfluenzapreparedness. CLOSING 16 - INDOHUN SYMPOSIUM REPORT 2012
  • 19. This symposium released four conlclusions First Second Third Fourth The participants who represent Indonesia’s prominent universities, agreed to support the national One Health University network and to participate in the future activities The participants agreed with and supported the three main INDOHUN programs on training, education, and research The participants and university networkat INDOHUN welcomed the RESPOND- USAID program to support One Health university networking in Indonesia The Vice Minister of Health fully supports the One Health University network through its government policy to achieve the goal of controlling emerging zoonotic diseases.